Angel's Play LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

701 Issued in SC

Legal business name

ANGEL'S PLAY LLC

Practice address

1506 Whiskey Rd
Aiken, SC 29803-5312

Phone

(803) 507-0354

Fax

(803) 649-2054

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gina Lynn Hutto

Title

Otr/L

Phone

(803) 507-0354

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1538418652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5051",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298045051",
            "telephone_number": "803-507-0354",
            "fax_number": "803-649-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035312",
            "telephone_number": "803-507-0354",
            "fax_number": "803-649-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S PLAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "HUTTO",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "803-507-0354",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1025",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anchor Rehabilitation and Healthcare Center of Aiken, LLC
• Audrey Anderson
• Gary Wayne Anderson
• Jonathan Hal Anderson, M.D., F.A.C.S.
• Vianca Anderson, LPC
• Angela Fallaw Zaremba DPM PA (Aiken Podiatry Center)
• Andreina Dodson Angle, RNC WHNP
• Stephanie Ansley
• Anthony E. Harris MD PA
• Kevin Allen Ard, P.A.

• Occupational Therapist in Aiken, SC
• Providers in Aiken, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.